NPI | 1326358953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP010865) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA RN518738L) |
Enumeration Date | 2010-10-17 |
Last Update Date | 2018-03-30 |